Number of Pitt Students involved with the project: *

Total number of service hours generated by project: *

Number of community partner representatives at the project: *

Percentage of student participants reported that
they made a difference in others’ lives: * %

Percentage of student participants reported that
a difference was made in their own lives: * %

Percentage of student participants indicated that they recognize
service as one of the University’s core values: * %

Percentage of student participants reported they have had many
opportunities to provide service to the community: * %

As a result of this grant, I (the person submitting the grant) has had the opportunity to lead: Yes or No*

How many students had the opportunity to lead as a result of this service experience:*

What impact did this project have on the Pittsburgh community?: *

Number of individuals from the community
who were impacted by this project: *

What impact did this project have on the members of your student organization? Share a specific story or moment in which students had specific takeaway as a result of serving: *

What lessons have you learned from the planning and execution of this project? Is there anything that could have been improved with this project?: *

How has your perception of service changed after this event?: *

What are the next steps regarding service for your student organization?: *

Feedback on completed project. Any lessons learned?
Suggestions for improvement: *